Employment Application

LAWS ENACTED BY THE FEDERAL GOVERNMENT AND BY MANY STATES PROHIBIT JOB DISCRIMINATION BASED UPON RACE, RELIGION, COLOR, NATIONAL ORIGIN, SEX, AGE, DISABILITY OR MARITAL STATUS, UNLESS BASED UPON A BONAFIDE OCCUPATIONAL REQUIREMENT OR OTHER EXCEPTION.

Step 1:General Information

Step 2:Education History

Step 3:Employment History

Step 4:Additional Info

Step 5:Review & Submit

Step 6:Required Testing

General Information

First Name:

Middle Initial:

Last Name:

Street Address:

City:

State:

Zip Code:

Phone:

Email Address:

Have you lived at the above address for two or more years?

Yes

No

Previous Address:

City:

State:

Zip Code:

How many years did you live at your previous address

For what position are you applying:

Rate of pay expected per week:

Do you wish to work:

Full Time

PartTime

Please specify days and hours if part-time:

Were you previously employed by us?

YesNo

If yes, when?

List any family or friends working for us:(separate names with a comma)

If your application is considered favorable, on what date will you be available for work?

Are there any other experiences, skills or qualifications which you feel would especially fit you for work with the company?

Emergency Contact Information

Person to be notified in case of accident or emergency:

Phone:

Street Address:

City:

State:

Zip Code:

Military Service Record

Were you in the U.S. Armed Forces?

YesNo

If yes, what branch?

Dates of duty...

From:

To

Rank at discharge:

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ABOUT US

Killingsworth is your one-stop source for pest control, lawn care, carpet care, water restoration, heating & air conditioning and a wide range of other residential services. Our technicians and exterminators proudly serve Charlotte and the surrounding areas with world class customer service! Our customer service is second to none. If we say we'll be there at 9am, our folks know that 9:01 is unacceptable!